test bank foundations of nursing

Correct Answer: A

Rationale: The correct answer is A: Current medication regimen. In the admission assessment of a patient with AIDS, it is crucial to assess the patient's current medication regimen to ensure proper management of the condition. This includes antiretroviral therapy, prophylactic medications, and any other medications the patient may be taking to manage comorbidities. Understanding the medications the patient is currently taking allows the nurse to assess for potential drug interactions, side effects, and adherence to the treatment plan. This information is essential for providing safe and effective care for the patient. Choice B: Identification of patients support system is important but not a specific component of the comprehensive assessment for a patient with AIDS. Choice C: Immune system function is a relevant aspect in a patient with AIDS, but it is not typically assessed in the admission assessment as it requires specialized testing. Choice D: Genetic risk factors for HIV are not typically assessed in the admission assessment of a patient with AIDS as the focus is on the current condition and management

Correct Answer: B

Rationale: The correct answer is B: Audiometry. Postoperative audiometry is the most appropriate assessment to determine the success of ossiculoplasty, as it evaluates the patient's hearing function and any improvements made by the surgery. Otoscopy (A) is a visual examination of the ear canal and may not provide comprehensive information on hearing. Balance testing (C) assesses equilibrium and is not directly related to the success of ossiculoplasty. Culture and sensitivity testing (D) of ear discharge is used to identify infections and would not directly indicate the success of the surgery.

Correct Answer: C

Rationale: The correct term for the involuntary, rhythmic eye movements seen in the patient with multiple sclerosis is nystagmus. Nystagmus is a condition characterized by repetitive, uncontrolled eye movements that can be horizontal, vertical, or rotary. In multiple sclerosis, nystagmus can occur due to damage to the nerves that control eye movement. Vertigo (choice A) is a sensation of spinning or dizziness, not related to eye movements. Tinnitus (choice B) is a perception of noise or ringing in the ears. Astigmatism (choice D) is a refractive error of the eye, not related to involuntary eye movements.

Correct Answer: B

Rationale: The correct answer is B: The patient should be monitored for bone marrow depression. Carbamazepine can cause bone marrow suppression, leading to decreased production of blood cells. Monitoring blood counts is crucial to detect this adverse effect early. Choice A is incorrect as Tegretol can have serious adverse effects, including bone marrow depression. Choice C is incorrect as the main side effects of carbamazepine are related to the central nervous system, not renal dysfunction. Choice D is incorrect as medications like carbamazepine should be started at a low dose and gradually titrated up to minimize side effects.

Correct Answer: B

Rationale: The correct answer is B: Malignant cells contain proteins called tumor-specific antigens. Tumor-specific antigens are unique to cancer cells and are not found in normal cells. This characteristic distinguishes cancer cells from normal cells and is important in cancer detection and treatment. A: Malignant cells do not necessarily contain more fibronectin than normal body cells. Fibronectin is a glycoprotein found in the extracellular matrix and is not a defining characteristic of cancer cells. C: Chromosomes in cancer cells are actually more prone to instability and mutations compared to normal cells, making them less durable and stable. D: The nuclei of cancer cells can vary in size and shape, with irregularities often seen, rather than being unusually large and regularly shaped.